Mehl. Peds dissociated disorders + somatic disorders Flashcards
Dissociative identity disorder (DID). definition?
Presence of two or more distinct identities that take control of the patient’s behavior, with memory gaps occurring during these transitions.
Presence of two or more distinct identities that take control of the patient’s behavior, with memory gaps occurring during these transitions.???
Dissociative identity disorder (DID)
Individuals with DID often report experiences of …….?
“time loss” or being told of actions they don’t recall performing.
Dissociative amnesia. definition?
Inability to recall important personal information, typically related to a traumatic or stressful event, that goes beyond repression. The amnesia can result in loss of identity and/or life history.
Inability to recall important personal information, typically related to a traumatic or stressful event, that goes beyond repression. The amnesia can result in loss of identity and/or life history.??
Dissociative amnesia
……. is a subtype of dissociative amnesia.
Dissociative fugue
Fugue = memory loss + travel, where the patient will have traveled to a destination (e.g., parking lot 50 miles from his/her home + doesn’t know who he/she is when the police arrive)
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Depersonalization / Derealization Disorder. Definition?
Patients feel that they are detached from themselves (depersonalization) or that the world around them is unreal or dreamlike (derealization).
Patients feel that they are detached from themselves (depersonalization) or that the world around them is unreal or dreamlike (derealization).????
Depersonalization / Derealization Disorder
Depersonalization / Derealization Disorder.
Experiences can be distressing, but the patient is aware that these perceptions are not reflective of reality.
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Somatic disorders. Symptom generation and motive are both unconscious.
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Somatic disorders.
Somatic symptom disorder, definition?
One or more chronic somatic symptoms (e.g., GI disturbance/pain, adnexal pain, shortness of breath, neuropathic pain) that are distressing or result in socio- occupational dysfunction, but in which medical examination and diagnostic interventions cannot find any abnormalities.
One or more chronic somatic symptoms (e.g., GI disturbance/pain, adnexal pain, shortness of breath, neuropathic pain) that are distressing or result in socio- occupational dysfunction, but in which medical examination and diagnostic interventions cannot find any abnormalities.?????
Somatic symptom disorder
somatic disorders, 3 types?
Somatic symptom disorder;
Conversion disorder;
Illness anxiety disorder
somatic. Conversion disorder, definition?
Neurologic deficits (i.e., paralysis, loss of function, numbness) usually following a stressor, e.g., loss of job, argument with spouse, etc.
Neurologic deficits (i.e., paralysis, loss of function, numbness) usually following a stressor, e.g., loss of job, argument with spouse, etc.????
Conversion disorder
Patient has La belle indifference, which refers to apparent lack of care or concern about the deficit (i.e., the patient supposedly can’t move his arm but doesn’t seem fazed by it)????
Conversion disorder
Example is a child being dropped off at summer camp + says he can’t move his finger -> child is likely stressed by being separated from parents. Dx?
Conversion disorder
Hoarseness of voice shows up on NBME form where answer is conversion disorder.
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NBME also gives guy with blindness in one eye, but there’s no relative afferent pupillary defect (indicating CN II isn’t fucked up), so Dx = conversion disorder. If you’re confused about RAPD, go to HY Neuro PDF.
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Somatic. Illness anxiety disorder definition?
Formerly known as hypochondriasis.
- Preoccupation with fear of having or acquiring a serious illness; worries persist even after medical reassurances of no significant health concern/risk.
Formerly known as hypochondriasis.
Preoccupation with fear of having or acquiring a serious illness; worries persist even after medical reassurances of no significant health concern/risk.????
Illness anxiety disorder
